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Organization

KENTUCKIANA PAIN SPECIALIST AMBULATORY SURGERY CENTER

Active
Other names
KPS Ambulatory Surgery Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AJITH NAIR MD (MEDICAL DIRECTOR)
(502) 995-4004
Entity
Organization

Contact information

Practice address
3710 CHAMBERLAIN LN STE B, LOUISVILLE, KY 40241-2002
(502) 995-4004
(502) 933-5559
Mailing address
PO BOX 24321, LOUISVILLE, KY 40224-0321
(502) 995-4004
(502) 933-5559

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
KY36217
KY
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
10/02/2017
Last updated
10/21/2021
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